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Objective: The present study compared the performance, workload, and stress associated with driver vigilance in two types of vehicle: a traditional, manually operated vehicle, and a partially automated vehicle.
Background: Drivers of partially automated vehicles must monitor for hazards that constitute automation failures and the need for human intervention, but recent research indicates that a driver's ability to do so declines as a function of time. That research lacked a comparison measure of driving without vehicle automation, so it is unknown to what degree these effects are specific symptoms of monitoring the roadway during an automated drive. Drivers in manual control of their vehicle must similarly monitor for hazards and may suffer similar vigilance decrements.
Method: Participants completed a simulated 40-minute drive while monitoring for hazards. Half of participants completed the drive with an automated driving system that maintained speed and lane position; the remaining half manually controlled the vehicle's speed and lane position.
Results: Driver sensitivity to hazards decreased and tendency to make false alarms increased over time in the automated control condition, but not in the manual control condition. Drivers in both conditions detected fewer hazards as the drive progressed. Ratings of workload and task-induced stress were elevated similarly in both conditions.
Conclusion: Partially automated driving appears to uniquely impair driver vigilance by reducing the ability to discriminate between benign and dangerous events in the driving environment as the drive progresses.
Application: Applied interventions should target improvements in driver sensitivity to hazardous situations that signal potential automation failures.
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http://dx.doi.org/10.1177/00187208221103922 | DOI Listing |
JMIR AI
August 2025
Centre de recherche intégrée pour un système apprenant en santé et services sociaux, Centre intégré de santé et de services sociaux de Chaudière-Appalaches, Lévis, QC, Canada.
Background: Delirium is prevalent in intensive care units (ICUs), often leading to adverse outcomes. Hypoactive delirium is particularly difficult to detect. Despite the development of new tools, the timely identification of hypoactive delirium remains clinically challenging due to its dynamic nature, lack of human resources, lack of reliable monitoring tools, and subtle clinical signs including hypovigilance.
View Article and Find Full Text PDFFront Health Serv
July 2025
African Health Economics and Policy Association (AfHEA), Accra, Ghana.
Introduction: The coronavirus disease 2019 (COVID-19) has led to a dramatic loss of human lives worldwide and caused economic and social disruptions. The risk of another pandemic occurring is ever-present requiring countries to document factors that influenced the response to COVID-19 to guide the response to future pandemics. This study documents lessons learnt from Mozambique's COVID-19 response, considering the perspectives of various stakeholders and examining different components of the response.
View Article and Find Full Text PDFJMIR Res Protoc
August 2025
Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Background: Obstructive sleep apnea (OSA) is highly prevalent among professional drivers; however, its true burden in this population remains underexplored and likely underdiagnosed.
Objective: This study aims to determine the prevalence of OSA and excessive daytime sleepiness (EDS) and identify their risk factors among a large representative sample of professional drivers in Tunisia. We will also evaluate the risk of accidents associated with OSA and EDS before and after the treatment.
Imaging Neurosci (Camb)
July 2025
Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, United States.
Vigilance is a continuously altering state of cortical activation that influences cognition and behavior and is disrupted in multiple brain pathologies. Neuromodulatory nuclei in the brainstem and basal forebrain are implicated in arousal regulation and are key drivers of widespread neuronal activity and communication. However, it is unclear how their large-scale brain network architecture changes across dynamic variations in vigilance state (i.
View Article and Find Full Text PDFJMA J
July 2025
Department of Public Health, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Ensuring good sleep quality and adequate sleep duration is crucial for health. Sleep apnea syndrome (SAS) impairs sleep quality and increases the risk of diabetes, cardiovascular diseases, and accidents. The author has significantly advanced the understanding of SAS in Japan through over 20 years of epidemiological studies.
View Article and Find Full Text PDF